Brock Kolander
Occupational Therapist in Roseburg, OR. Individual provider (NPI-1).
NPI number1609658673
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1609658673
- Entity type
- Individual (NPI-1)
- Name
- Brock Kolander
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 457961 | OR | Yes |
Practice location
913 Nw Garden Valley BlvdRoseburg, OR 97471-6523
Phone 541-440-1000
Mailing address
1492 Nw Carl AveRoseburg, OR 97471-1903
Phone 507-461-5110
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Occupational Therapist providers in Roseburg · All 2,380 providers in Roseburg
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